Organization Active NPI

St. Mary's Child Center

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1144309931
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
34001079A Issued in IN
Legal business name
ST. MARY'S CHILD CENTER
Practice address
9230 Hawkins Rd
Indianapolis, IN 46216-1017
Phone
(317) 543-0782
Fax
(317) 543-0788
NPI assigned
Nov 3, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Constance Sherman
Title
Executive Director
Phone
(317) 635-1491

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 34001079A IN Primary

Addresses

Primary practice location

9230 Hawkins Rd
Indianapolis, IN 46216-1017

Mailing address

9230 Hawkins Rd
Indianapolis, IN 46216-1017
Phone (317) 543-0782

National Provider Directory

National Provider Directory
Tax ID family
St Mary's Child Center2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

9230 Hawkins Rd
Indianapolis, IN 46216
Phone (317) 543-0782

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1144309931",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9230 HAWKINS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161017",
            "telephone_number": "317-543-0782",
            "fax_number": "317-543-0788"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9230 HAWKINS RD",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462161017",
            "telephone_number": "317-543-0782",
            "fax_number": "317-543-0788"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ST. MARY'S CHILD CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SHERMAN",
        "authorized_official_first_name": "CONSTANCE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "317-635-1491"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "IN",
            "license": "34001079A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.